Organization Active NPI

Under the Barbell Physical Therapy & Performance LLC

  • Physical Therapy Clinic/Center
  • St Augustine, FL
National Provider Identifier
1750971032
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
UNDER THE BARBELL PHYSICAL THERAPY & PERFORMANCE LLC
Practice address
100 Kayak Way
St Augustine, FL 32092-1202
Phone
(724) 977-3271
NPI assigned
Jan 21, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael Janusko, PT, DPT, MTCNPI 1396148748
Title
MGR
Phone
(724) 977-3271

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

100 Kayak Way
St Augustine, FL 32092-1202

Mailing address

105 Lombard Way
Saint Augustine, FL 32092-0055
Phone (724) 977-3271

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mick@underthebarbell.com Direct

National Provider Directory

National Provider Directory

Locations

100 Kayak Way
St Augustine, FL 32092
Phone (724) 977-3271

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611187200000",
    "number": "1750971032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 LOMBARD WAY",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320920055",
            "telephone_number": "724-977-3271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KAYAK WAY",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320921202",
            "telephone_number": "724-977-3271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNDER THE BARBELL PHYSICAL THERAPY & PERFORMANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-21",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A",
        "authorized_official_last_name": "JANUSKO",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "724-977-3271",
        "authorized_official_credential": "PT, DPT, MTC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mick@underthebarbell.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "100 Kayak Way",
            "city": "St Augustine",
            "state": "FL",
            "country_code": "US",
            "postal_code": "320921202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.